A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?

"You are retaining a lot of sodium and potassium and that causes you to gain water weight"

"Your kidneys are not working correctly, so they can't get rid of extra water from your system"

"The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you."

"You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight."

Answer and Explanation

The Correct Answer is D

A. "You are retaining a lot of sodium and potassium, and that causes you to gain water weight.": SIADH involves dilutional hyponatremia, not retention of sodium and potassium.

B. "Your kidneys are not working correctly, so they can't get rid of extra water from your system.": SIADH results from excessive secretion of antidiuretic hormone (ADH), not kidney dysfunction.

C. "The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you.": SIADH causes water retention, not increased appetite.

D. "You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight.": This accurately explains that excess ADH leads to water retention, causing weight gain.

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Correct Answer is A

Explanation

A. Fasting blood glucose 155 mg/dL (70-105): A fasting blood glucose of 155 mg/dL exceeds the threshold for diabetes risk (≥126 mg/dL). This result strongly indicates impaired glucose regulation or diabetes mellitus.

B. Casual blood glucose 178 mg/dL (less than 200): Casual glucose <200 mg/dL does not meet the diagnostic criteria for diabetes or prediabetes, as casual glucose ≥200 mg/dL is diagnostic of diabetes in symptomatic individuals.

C. HbA1c 5.2% (49%-69%): HbA1c levels ≥5.7% indicate prediabetes, and ≥6.5% is diagnostic of diabetes. This value is within the normal range.

D. 2-hr blood glucose 132 mg/dL (less than 200): A 2-hour glucose level after an oral glucose tolerance test (OGTT) of 140-199 mg/dL indicates prediabetes, and ≥200 mg/dL confirms diabetes. This value does not indicate risk.

A. "I'll put lotion between my toes." B. "I'll check my feet every day for sores and bruises." C. "I'll wear sandals in warm weather." D. "I'll soak my feet in warm, soapy water every night before I go to bed."

Correct Answer is B

Explanation

A. "I'll put lotion between my toes.": This increases the risk of fungal infections and should be avoided.

B. "I'll check my feet every day for sores and bruises.": Daily foot inspections help identify injuries or infections early, crucial for clients with diabetes due to poor healing and neuropathy.

C. "I'll wear sandals in warm weather.": Open-toed shoes can lead to foot injuries or exposure to harmful elements, which should be avoided.

D. "I'll soak my feet in warm, soapy water every night before I go to bed.": Soaking can cause skin maceration and increase the risk of infection, especially in clients with diabetes.

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A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is B

Explanation

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